Psychological wellness and health‐related stigma: a pilot study of an acceptance‐focused cognitive behavioural intervention for people with lung cancer
| Autor: | Suzanne K. Chambers, Samantha Clutton, Dianne L. O'Connell, Jeff Dunn, Penelope Schofield, Elizabeth Foley, Bronwyn Anne Morris, Lynne C. Giles |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Pathology medicine.medical_specialty Lung Neoplasms Social stigma Social Stigma Stigma (botany) Pilot Projects Acceptance and commitment therapy Quality of life (healthcare) Avoidance Learning medicine Humans Acceptance and Commitment Therapy Treatment - Complementary and Alternative Treatment Approaches Aged Interpretative phenomenological analysis Depression Cancer Type - Lung Cancer business.industry Original Articles Middle Aged Mental health Self Care lung cancer Distress Mental Health Treatment Outcome quality of life Oncology Female psychological Self Report business Psychosocial Stress Psychological Follow-Up Studies Clinical psychology |
| Zdroj: | European Journal of Cancer Care |
| ISSN: | 1365-2354 0961-5423 |
| DOI: | 10.1111/ecc.12221 |
| Popis: | People with lung cancer experience health-related stigma that is related to poorer psychosocial and quality of life outcomes. The present Phase 1 study applied mixed methods to test the acceptability of an acceptance-focused cognitive behavioural intervention targeting stigma for this patient group. Fourteen lung cancer patients completed a 6-week Psychological Wellness intervention with pre- and post-test outcome measures of psychological and cancer-specific distress, depression, health-related stigma and quality of life. In-depth interviews applying interpretative phenomenological analysis assessed participants' experiences of the intervention. Moderate to large improvements were observed in psychological (ηp2 = 0.182) and cancer-specific distress (ηp2 = 0.056); depression (ηp2 = 0.621); health-related stigma (ηp2 = 0.139). In contrast, quality of life declined (ηp2 = 0.023). The therapeutic relationship; self-management of distress; and relationship support were highly valued aspects of the intervention. Barriers to intervention included avoidance and practical issues. The lung cancer patients who completed the Psychological Wellness intervention reported improvements in psychological outcomes and decreases in stigma in the face of declining quality of life with patients reporting personal benefit from their own perspectives. A randomised controlled trial is warranted to establish the effectiveness of this approach. Suzanne Chambers is supported by an Australian Research Council Future Fellowship. |
| Databáze: | OpenAIRE |
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